title: Phenytoin preferentially inhibits L-type calcium currents in whole-cell patch-clamped cardiac and skeletal muscle cells.
abstract: The effect of the anticonvulsant diphenylhydantoin (phenytoin) was tested on the inward calcium currents of whole-cell patch-clamped cells from rat and human muscles and from frog atrium. A concentration of 10 microM phenytoin was required to obtain a threshold inhibitory effect and, even with high concentrations (100 microM), the inhibition was not complete. In skeletal muscle (rat and human cells in culture), phenytoin (30 microM) exerted a more potent effect on the high-threshold calcium current (ICa,L inhibition: 53 +/- 6% mean +/- SDn-1) rather than on the low-threshold one (ICa,T inhibition: 16 +/- 10%). Similar results were obtained on dissociated frog atrial cells. These data are to be contrasted with those previously reported on neuronal cells, where specific inhibition of ICa,T was reported. Thus, the action of phenytoin appears to be different in muscle and nerve so that phenytoin does not appear to be a specific inhibitor of ICa,T.
authors.affiliation: Laboratoire de Physiologie Générale, CNRS U.R.A. 290, Université de Poitiers, France.
authors.forename: M
authors.initials: M
authors.lastname: Rivet
authors.forename: P
authors.initials: P
authors.lastname: Bois
authors.forename: C
authors.initials: C
authors.lastname: Cognard
authors.forename: G
authors.initials: G
authors.lastname: Raymond
mesh_terms: D000818:Animals; D002118:Calcium / Q000378:metabolism*; D004305:Dose-Response Relationship, Drug; D004553:Electric Conductivity; D006801:Humans; D007700:Kinetics; D008564:Membrane Potentials; D009132:Muscles / Q000166:cytology / Q000378:metabolism*; D009206:Myocardium / Q000166:cytology / Q000378:metabolism*; D010672:Phenytoin / Q000494:pharmacology*; D011893:Rana esculenta; D051381:Rats
chemical_list: D010672:Phenytoin; D002118:Calcium